PATH MEDICAL, LLC (NPI# 1235599747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235599747 |
| Entity Type | Organization |
| Organization Name | PATH MEDICAL, LLC |
| Other Organization Name | PATH MEDICAL-HOLLYWOOD |
| Practice Address |
2544 N State Road 7 Hollywood FL 33021-3205 |
| Mailing Address |
2304 W Oakland Park Blvd Oakland Park FL 33311-1422 |
| Practice Telephone | 9549631899 |
| Practice Fax Number | 9549630561 |
| Mailing Telephone | 7542182164 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | DR. NEIL BONNARDEL (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Telephone | 7542182164 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Path Medical-Hollywood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358476 | Path Medical, LLC | Clinic/Center | 601 E Sample Rd Ste 102&109, Pompano Beach, FL 33064-4443 | 2018-03-06 |
| 1922500545 | Path Medical, LLC | Clinic/Center | 2900 N Military Trl Ste 120, Boca Raton, FL 33431-6347 | 2018-02-28 |
| 1588162838 | Path Medical, LLC | Clinic/Center | 4255 W Commercial Blvd, Tamarac, FL 33319-3305 | 2018-01-31 |
| 1316454788 | Path Medical, LLC | Clinic/Center | 859 Park Ave Ste 102, Orange Park, FL 32073-4151 | 2018-01-06 |
| 1972010346 | Path Medical, LLC | Clinic/Center | 9119 Merrill Rd Ste 32, Jacksonville, FL 32225-4306 | 2018-01-06 |
| 1477089688 | Path Medical, LLC | Clinic/Center | 6220 S Orange Blossom Trl Ste 606, Orlando, FL 32809-4688 | 2017-05-08 |
| 1609301308 | Path Medical, LLC | Clinic/Center | 809 S Florida Ave, Lakeland, FL 33801-5234 | 2017-05-01 |
| 1639603699 | Path Medical, LLC | Clinic/Center | 131 Patterson Rd, Haines City, FL 33844-7803 | 2017-04-17 |
| 1386185189 | Path Medical, LLC | Clinic/Center | 14824 N Florida Ave Ste A, Tampa, FL 33613-1844 | 2017-03-13 |
| 1518408533 | Path Medical, LLC | Clinic/Center | 3140 34th St N, St Petersburg, FL 33713-2404 | 2017-03-09 |
| Street Address |
2544 N STATE ROAD 7 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497892004 | Neil Steven Bonnardel | Chiropractor | 2544 N State Road 7, Hollywood, FL 33021-3205 | 2007-01-31 |
| 1154713618 | Phillip Arthur Scott | Chiropractor | 2544 N State Road 7, Hollywood, FL 33021-3205 | 2015-02-20 |
| 1003234659 | Path Medical Center Inc | Clinic/Center | 2544 N State Road 7, Hollywood, FL 33021-3205 | 2014-04-01 |
| 1730424763 | Bright Medcare LLC | Nurse Practitioner | 2544 N State Road 7, Hollywood, FL 33021-3205 | 2012-12-03 |
| 1124160817 | Hollywood Injury Rehabilitation Center, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 2544 N State Road 7, Hollywood, FL 33021-3205 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578108551 | Rambam Medical Inc | Clinic/Center | 7081 Taft St, Hollywood, FL 33024-3803 | 2019-11-13 |
| 1386293785 | Mj Doc Health Center 2 Inc | Clinic/Center | 6101 Hollywood Blvd, Hollywood, FL 33024-7937 | 2019-09-09 |
| 1316422462 | Alcasias Corp | Clinic/Center | 2719 Hollywood Blvd Ste A-1512, Hollywood, FL 33020-4821 | 2018-09-25 |
| 1447610712 | Family Pain & Health Center, LLC. | Clinic/Center | 6222 Johnson St, Hollywood, FL 33024-5932 | 2016-03-01 |
| 1104247725 | South Florida Spine and Wellness Center, Inc. | Clinic/Center | 6908 Stirling Rd, Hollywood, FL 33024-1839 | 2013-12-27 |
| 1679847990 | Stirling Medical Center, Inc | Clinic/Center | 5892 Stirling Rd Ste 2, Hollywood, FL 33021-1541 | 2012-03-05 |
| 1851623573 | Fisioterapia Hollywodd Medical | Clinic/Center | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2010-02-04 |
| 1609104439 | Quality Care Pl | Clinic/Center | 3800 S Ocean Dr Ste G3, Hollywood, FL 33019-2906 | 2009-12-07 |
| 1134350309 | Broward Physician Therapy Corp | Clinic/Center | 2440 N 59th Ter, Hollywood, FL 33021-3265 | 2009-08-05 |
| 1083881874 | Associates for Psychological Services, Inc. | Clinic/Center | 940 S Federal Hwy, Hollywood, FL 33020-6024 | 2008-05-12 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.